In 2019, I completed training in ‘Dignity Therapy’ at the German Society for Patient Dignity in Mainz. Dignity Therapy was developed by the Canadian palliative care psychiatrist Harvey M. Chochinov. In 2021, I completed the advanced seminar.
Through Dignity Therapy, I discovered a powerful connection between my love for writing and my work in palliative care. Overtime, my process and approach began to differ from Dignity Therapy in both technique and desired outcome. While Dignity Therapy looks to provide a brief psychological intervention through its primary focus on positive life experiences, my storytelling approach appreciates the entirety of a full life lived. It celebrates joys, but also gives space to discuss and process more difficult moments. This may include thoughts and feelings with regard to their own impending deaths.
Those who partake in palligraphy have often expressed a greater peace with their impending death, along with an ability to organize their final weeks or months of life and prepare for their farewells.
The magical science of Storytelling
Studies have shown that the act of storytelling calms our nervous system. Where adrenaline and cortisol once prevailed, dopamine, endorphins and oxytocin can now take hold – leading to greater concentration, joy, connection and empathy. I often notice during conversation how my conversation partner gradually relaxes while simultaneously becoming more alert and focused.
Whilst dignity-therapy is based on a questionnaire covering various topics, palligraphy allows for a flexible structure using various traditional narrative patterns – more akin to a life journey on which we pause at the most important and formative stages. We recall special events and life changing moments, both positive and difficult. We remember all the people who were by our side or still are.
Palligraphy can also offer comfort in times of deep grief. For me, the concept of “quality of dying” has become a key term in this context. Instead of placating or covering up past tragic events or current worries and fears, we give them a voice and allow them to integrate into our narrative rather than be hidden or shamed. This process can lead towards greater acceptance and peace.